2024年9月14日星期六

Ibuprofen Pediatric Dosing_ A Guide for Parents and Caregivers


Ibuprofen Pediatric Dosing: A Guide for Parents and Caregivers

Ibuprofen is a commonly used over-the-counter medication for managing pain and fever in children. However, proper dosing is crucial to ensure safety and effectiveness. Pediatric dosing of ibuprofen is based on the child's weight rather than age, which provides a more accurate and safe dosage. It's important to note that infants under 6 months should not be given ibuprofen without consulting a healthcare provider.

The general guideline for ibuprofen dosing in children is 10 mg per kilogram of body weight, given every 6 to 8 hours as needed. However, it's essential to follow the specific instructions provided by your healthcare provider or the product label. Here's a general dosing chart for reference:


12-17 lbs (5.4-7.7 kg): 1.25 mL of infant drops (50 mg)

18-23 lbs (8.2-10.4 kg): 1.875 mL of infant drops (75 mg)

24-35 lbs (10.9-15.9 kg): 5 mL of children's liquid or 1 chewable tablet (100 mg)

36-47 lbs (16.3-21.3 kg): 7.5 mL of children's liquid or 1.5 chewable tablets (150 mg)

48-59 lbs (21.8-26.8 kg): 10 mL of children's liquid or 2 chewable tablets (200 mg)

60-71 lbs (27.2-32.2 kg): 12.5 mL of children's liquid or 2.5 chewable tablets (250 mg)

72-95 lbs (32.7-43.1 kg): 15 mL of children's liquid or 3 chewable tablets (300 mg)


It's crucial to use the measuring device provided with the medication to ensure accurate dosing. Kitchen spoons are not accurate and should not be used. For infants, special infant drops are available, which are more concentrated than children's liquid formulations.

Parents should be aware that different ibuprofen products may have different concentrations, so it's essential to read the label carefully and follow the instructions specific to the product being used. Never exceed the recommended dose or frequency without consulting a healthcare provider.

Ibuprofen should not be given for more than 3 days for fever or 10 days for pain unless directed by a healthcare provider. If symptoms persist or worsen, medical attention should be sought.

It's also important to note that ibuprofen should not be given to children who are dehydrated or continuously vomiting. In these cases, acetaminophen might be a better choice, but it's best to consult with a healthcare provider.

While ibuprofen is generally safe when used as directed, it can have side effects. Common side effects in children may include upset stomach, nausea, or diarrhea. More serious but rare side effects can include allergic reactions or stomach bleeding.

Parents should also be aware of the risk of dosing errors. It's easy to confuse milliliters (mL) with teaspoons, which can lead to overdosing. Always double-check the dosage and use the correct measuring device.

In conclusion, while ibuprofen can be an effective medication for managing pain and fever in children, proper dosing is crucial. When in doubt, always consult with a healthcare provider or pharmacist to ensure you're providing the safest and most effective care for your child. 

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